Healthcare Provider Details

I. General information

NPI: 1720976939
Provider Name (Legal Business Name): CHOSEN TO CHANGE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2025
Last Update Date: 02/09/2026
Certification Date: 02/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

629 E WOOD ST STE 306
VINELAND NJ
08360-3731
US

IV. Provider business mailing address

3017 SEAVIEW AVE STE 306
MILLVILLE NJ
08332-7636
US

V. Phone/Fax

Practice location:
  • Phone: 856-265-6857
  • Fax: 866-530-6081
Mailing address:
  • Phone: 856-265-6857
  • Fax: 866-530-6081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHEILA SHARMAINE PIERCE-WILLIAMS
Title or Position: OWNER
Credential: LCSW
Phone: 856-265-6857